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Organization
EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
Active
Organization
EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
Active
Other names
Pacifica Senior Living Millcreek
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEEPAK ISRANI (MANAGER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
777 E 3900 S, SALT LAKE CITY, UT 84107-2199
(801) 288-0700
(801) 288-2777
Mailing address
1775 HANCOCK ST STE 200, SAN DIEGO, CA 92110-2036
(619) 296-9000
(619) 296-9090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
UT000249
UT
310400000X
Assisted Living Facility
Primary
UT207219
UT
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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